The Hertel Report is proud to celebrate our intern Veronica Graff, who shared a byline on this front page story in the Arizona Republic on Sunday about the emotional and physical damage suffered by ex-Cardinal players and their struggles with the...National News
Pharmaceutical companies Eli Lilly & Co. and AstraZeneca PLC are completely scrapping trials of an experimental drug they were co-developing for the treatment of Alzheimer's. It is an unsurprising announcement among various other disappointing efforts to close the gap to the finish line in the race against the debilitating...Arizona News
Financial consulting company Deloitte will open a U.S. Delivery Center in Gilbert, Arizona. The new 102,000 square foot facility is expecting to generate approximately 2,500 jobs in the region and will focus on developing and applying emerging technologies-based solutions to its clients.
To better adapt itself to the perpetually...Arizona News
The 2019 assessment at $287 million is $3 million less than the 2018 assessment.
For the contracting year October 1, 2018 through September 30, 2019 (CYE 2019), select AHCCCS-registered Arizona providers which meet agency established performance criteria will receive Differential Adjusted Payments (DAP).
AHCCCS will implement DAP...National News
The American Academy of Hospice and Palliative Medicine (AAHPM) proposed an alternative payment model (APM) that includes monthly payments for care teams, including nurses, social workers and spiritual care professionals.
The Patient and Caregiver Support for Serious Illness (PACSSI) model was developed to address the gaps in...National News
Usage of brand-name drugs has declined but seniors are still paying more although they are receiving less, according to a report by the U.S. Department of Health & Human Services (DHHS).
The Office of Inspector General (OIG) found:
Total reimbursements for all brand-name drugs in Part D increased 77 percent from 2011 to...National News
Gov. Paul LePage of Maine is being forced to uphold a ballot measure that passed seven months ago when Maine voters decided to expand Medicaid under The Affordable Care Act (ACA). His administration was ordered to file the paperwork to the federal government by next week, according to POLITICO.
Supporters of the ACA sued...
The Centers for Medicare & Medicaid Services (CMS) developed its Medicaid and Children's Health Insurance Program (CHIP) Scorecard.
The Scorecard includes measures voluntarily reported by states, as well as federally reported measures in three areas:
The Scorecard includes measures voluntarily reported by states, as well as...
The Washington Post’s Paige Winfield Cunningham speaks one-on-one with U.S. Centers for Medicare and Medicaid Services Administrator Seema Verma, who outlines her vision for Medicaid.
Watch the video by following this link to the Washington Post
The University of Arizona’s (UA) College of Nursing is introducing a project to help improve mental health resources in rural areas and border communities. The program received a $1.7 million grant from US Health Resources and Services Administration in funding to use over four years.
Healthcare is closely tied to the economy...National News
Nuedexta is the only FDA approved drug to treat pseudobulbar affect (PBA), a rare disorder affecting less than one percent of the population, according to a CNN investigation.
The Centers for Medicare & Medicaid Services and the U.S. government is now warning insurers to be aware of unethical uses of the drug. It has had an...Arizona News
Sun West Choice Healthcare and Rehabilitation is a 140-bed skilled nursing facility with an 87 percent occupancy rate in Sun City West. The acquisition became effective June 1, 2018.
Bandera Healthcare, Inc., Ensign's Arizona-based subsidiary, was enthusiastic about the addition of Sun West Choice.
"We are ecstatic to welcome to...National News
The federal review also reported subsidized coverage for marketplace plans has fallen by 3 million and projects that by 2028, about 243 million Americans will be insured while the country's uninsured rate will climb to 35 million.
The Congressional Budget Office expects the nongroup health insurance is expected to be stable in most...National News
The Government Accountability Office reported that in 2017 HHS made $36.2 billion in improper Medicare FFS payments and $36.7 billion in improper payments to Medicaid; MA received $14.2 billion improperly and Medicare Part D was improperly paid $1.2 billion.
The GAO estimated the federal government spent nearly $147 billion on...Arizona News
For the second time, the state of Arizona is pushing to oust federal judge David Duncan from overseeing a legal settlement demanding that Arizona improves healthcare for its inmates.
The request to remove Duncan from the settlement stemmed from his threats to hold Corrections Director Charles Ryan and Assistant Corrections Director...National News
Excel Health's reported that in 2017 total Medicare beneficiaries grew 2.5 percent as baby boomers continued to age into Medicare, hospice patient admissions grew 6.5 percent driven by increased utilization, and that home health patient admits grew 0.5 percent, due to growth in the last two reported quarters.
Data highlights from the...News
Select patients are now able to seek non-FDA approved experimental drugs and treatments. President Trump signed the bill May 30 stating it would provide terminally ill patients with the “hope of finding something.”
The “compassionate use” program enacted by the FDA already grants access to experimental drugs after the patient...Arizona News
After nearly a decade with Cigna, most recently as the VP of operations and effectiveness for the insurer's Total Health & Network, Bennett will be responsible for leading strategy and operations to the 120 member group practice.
Bennett was also a leader in the information technology and service operations departments at Cigna...National News
Making up almost 20 percent of the nation’s GDP, the United States spends more on healthcare than any other country and consumers are still questioning the costs and quality of care.
Nasdaq has called the current health insurance situation “a mess,” but new solutions have yet to prove viability and demonstrate successful reform...Arizona News
Charles Ryan, director of Arizona’s Department of Corrections (DOC), has now lost an appeal of a court order issued to him in Oct. 2017 by U.S. Magistrate Judge David K. Duncan.
The case has been closely monitored by Duncan since its settlement in 2014 due to continued noncompliance with standard prison healthcare regulations. A...Arizona News
During the Chamber’s 31st Annual IMPACT Awards Luncheon, Phoenix Children's was recognized for its success. PCH President and CEO Robert Meyer commented on the award,
This award goes to the exceptionally talented staff at Phoenix Children’s. Not only do they ensure our Hospital runs like ‘Business of the Year’ every day,...National News
The transaction is expected to close by the end of 2018, subject to customary closing conditions, including regulatory approvals.
The family-owned Meridian is Michigan's largest Medicaid managed care organization and serves more than 500,000 members in the state and more than 1.1 million overall. The insurer also serves 27,000...National News
The editor of the Pain News Network makes the case on why reversing a 2016 CMS decision to cut Medicare reimbursement for epidurals is a bad idea.
The bill, which was passed last week by the House Energy and Commerce Committe goes to the full House for a vote next. The legislation would partially reverse a decision made by the Centers...Arizona News
An analysis revealed the Arizona health system was paying 10 to 20 percent more for its implants; in response, HonorHealth negotiated better prices, saving $1.5 million.
Featuring interviews with HonorHealth CFO Alice Pope and Timothy Miller, vice president of procurement and supply chain, ModernHealthcare reports how the Arizona...National News
ProPublica and NPR team up to investigate practices within the health insurance industry. Follow one man’s case in an attempt to understand how a claim is paid and try to decode the Explanation of Benefits (EOB).
Michael Frank is more fortunate than most. He has worked in the insurance industry for 30 years and is covered by his...